Provider Demographics
NPI:1093762304
Name:SCHARFENBERGER, DENNIS F (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:F
Last Name:SCHARFENBERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GRAND ST FL 3
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1035
Mailing Address - Country:US
Mailing Address - Phone:845-896-5587
Mailing Address - Fax:845-986-0247
Practice Address - Street 1:214 WEST ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-3214
Practice Address - Country:US
Practice Address - Phone:845-896-5587
Practice Address - Fax:845-986-0247
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192880207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F16908Medicare ID - Type Unspecified
NY97H89EN081Medicare PIN